ArticleSports health
Relationship Between Body Positioning, Muscle Activity, and Spinal Kinematics in Cyclists With and Without Low Back Pain: A Systematic Review.
Article in Sports health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 45 citations in OpenAlex.
- Low Back Pain in Cycling. Are There Differences between Road and Mountain Biking?International journal of environmental research and public health · 2023Trial
- Spinal Alignment and Pain: An Assessment of Amateur Road Cyclists-A Pilot Study.Healthcare (Basel, Switzerland) · 2025Article
- Potential neurophysiological and biomechanical risk factors for sport-related back problems: A scoping review.Sports medicine and health science · 2024Article
- Effects of Cycling on Spine: A Case-Control Study Using a 3D Scanning Method.Sports (Basel, Switzerland) · 2023Article
- Long-Term Effects of a Kinematic Bikefitting Method on Pain, Comfort, and Fatigue: A Prospective Cohort Study.International journal of environmental research and public health · 2022Article
- Comparative Analysis of Male Cyclist Population in Four Asia Countries for Anthropometric Measurements.International journal of environmental research and public health · 2022Article
- Prevalence, Characteristics, Association Factors of and Management Strategies for Low Back Pain Among Italian Amateur Cyclists: an Observational Cross-Sectional Study.Sports medicine - open · 2021Article
- Validation of a 3D Camera System for Cycling Analysis.Sensors (Basel, Switzerland) · 2021Article
- Impact of a Season of Bike Patrol on Police Officers' Level of Fitness: A Pilot Study.International journal of environmental research and public health · 2021Article
- Changes in the Trunk and Lower Extremity Kinematics Due to Fatigue Can Predispose to Chronic Injuries in Cycling.International journal of environmental research and public health · 2021Article
- Discomfort, pain and fatigue levels of 160 cyclists after a kinematic bike-fitting method: an experimental study.BMJ open sport & exercise medicine · 2021Article
- Mapping of Back Muscle Stiffness along Spine during Standing and Lying in Young Adults: A Pilot Study on Spinal Stiffness Quantification with Ultrasound Imaging.Sensors (Basel, Switzerland) · 2020Article
- THE ROLE of a BIKE FIT in CYCLISTS with HIP PAIN. A CLINICAL COMMENTARY.International journal of sports physical therapy · 2019Article
- Reduced instantaneous center of rotation movement in patients with low back pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextLow back pain is reported by more than half of cyclists. The pathomechanics and association of risk factors of lumbar spine overuse injuries in cycling are not clearly understood.
objectiveTo determine whether relationships exist between body positioning, spinal kinematics, and muscle activity in active cyclists with nontraumatic low back pain. DATA SOURCES: In August of 2015 and April of 2016, a comprehensive search of the PubMed, CINAHL, Ovid MEDLINE, and Scopus databases was performed independently by 5 reviewers. STUDY SELECTION: Included articles consisted of biomechanical studies examining factors relating to low back pain in cyclists as agreed upon by group consensus. STUDY
designSystematic review. LEVEL OF EVIDENCE: Level 4. DATA EXTRACTION: Five reviewers appraised by consensus each article using the Downs and Black checklist.
resultsEight studies met criteria for this review. There is evidence that cyclists with lower handlebar heights displayed increased lumbosacral flexion angles during cycling. Core muscle activation imbalances, back extensor endurance deficits, and increased lumbar flexion while cycling were found to be present in cyclists with low back pain.
conclusionSpinal and core muscle activation imbalances in a prolonged flexed posture associated with cycling may lead to maladaptive spinal kinematics and increased spinal stresses contributing to overuse low back pain.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.